Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Office Name

  • Truck #

  • 1. Inspect Transmission for Water, Drain Water off, Replace Annually<br>

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 2. Inspect Right Angle Drive for Water, Drain Water off, Replace Annually

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 3. Inspect Hydraulic Tank for Water

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 4. Check and Adjust Clutch (Operation & Maintenance Manual)<br>

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 5. Adjust Rotary Head Chain and Sprocket (Operation & Maintenance Manual)<br>

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 6. Check Mast Sheaves & Bushings for wear

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 7. Inspect all Hydraulic Hoists for proper level of gear oil

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 8. Ensure all Hydraulic Hoist Brakes are functioning properly

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 9. Drain Fuel

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 10. Ensure Engine Govenor is functioning properly

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 11. Inspect Feed Frame for Stress Cracks in Plate or Welds

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 12. Inspect A-frame and Engine Mounts for Stress Cracks in Plate or Welds

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 13. Inspect all Deck Areas and Hydraulic Jacks for Stress Cracks in Plate or Welds

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 14. Ensure that both Channel Cross Members between Rear Hydraulic Jacks have not been distorted from original condition<br>

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 15. Visually Inspect Mast for Cracks at Welded Joints

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 16. Cathead does not have more than 1/8” wear groove

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 17. Kelly Drive Square

  • Was vehicle was placed into service?

  • Why was vehicle placed into service before maintenance or repair was completed?

  • 18. Have all guards and/or safety devices been reinstalled after any maintenance activity?

Approvals

  • Maintenance Performed by

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